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Shortness of Breath

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Macaca Melo

on 23 October 2013

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Transcript of Shortness of Breath

Asthma
Chronic obstructive pulmonary disease
Emphysema
Bronchitis
Obstructive lung diseases
Anemia
Hyperthyroidism
Acute Leukemia
Metabolic acidosis
Sepsis

Pulmonary vascular diseases
Immobilization of the diaphragm
Lesion of the phrenic nerve
Polycystic liver disease
Tumor in the diaphragm
Mo Mo, aged 49,
social worker

Aortic dissection
Cardiomyopathy
CREST syndrome
Heart failure
Ischaemic heart disease
Malignant hypertension
Cardiac tamponade
Constrictive pericarditis
Pericardial effusion
Valvular heart disease
Nursing Therapeutics II Tutorial
Lee Chi Fung, Ben 12069907D
Kan Sze Man, Sandy 12018699D
Leung Kin Man, Elvis 12006324D
Fu er le, Lamuel 12068954D
Lau Ming Yuet, Carman 12069746D
Ho Ching Lam, Tiffany 12067651D
Liu Yan Yo, Jody 12068641D
Pulmonary Problem
cardiovascular system
Disorders of
the blood and metabolism

Disorders affecting breathing nerves and muscles
Amyotrophic lateral sclerosis
Guillain-Barré syndrome
Myasthenia gravis
Upper back pain
Intercostal muscle sprain
Other Causes
Psychological conditions:
Anxiety disorders
Panic attacks
Chief Complaint:
Shortness of Breath

Subjective sensation of client experiencing increased difficultly breathing.
Dyspnea / Air hunger

Patient Assessment
Respiratory system
Producvtive cough
Producvtive cough
Producvtive cough
Tuberculosis
Producvtive cough
Producvtive cough
Producvtive cough
Producvtive cough
Producvtive cough
Producvtive cough
Producvtive cough
Yellowish sputum
Producvtive cough
Yellowish sputum
Yellowish sputum
一理通馬國明
Restriction of the chest volume
Ankylosing spondylitis
Broken ribs
Kyphosis of the spine
Obesity
Pectus excavatum
Scoliosis
Obstruction of
the airway
Larynx or pharynx cancer
Empty nose syndrome
Pulmonary aspiration
Epiglottitis
Laryngeal edema
Vocal cord dysfunction
Pulmonary embolism
Pulmonary hypertension
Low grade fever
Low grade fever
Low grade fever
weight loss
-----------------------------------
Weight loss
Weight Loss
Use of bronchodilator
--------------------
--------------------
Use of bronchodilator
----------------------------------------
-------------------
----------------------------------------
----------------------------------------
Travel
1. Have you cough? Cough with sputum?


2. What is the nature of sputum?


3. Take vital signs


4. Have you experienced weight loss within one month??


5. Have you been using this kind of medication under doctor’s prescription?





6. Have you travelled outside Hong Kong within three months?

7. Capillary refill
Health Assessement
Yes, with sputum.


Yellowish sputum.

Temp:
38℃ (↑)
, Pulse:
92
bpm, Resp rate:
25
bpm, BP:
140
/90, Spo2:
94% (↓)


Yes



Never.




I've been to Hunan.

<2s
Diseases of lung parenchyma and pleura
Anthrax
Pneumonia
Atelectasis
Fibrosing alveolitis
Lung cancer
Pleural effusion
Pneumothorax
Pneumoconiosis
Pulmonary edema
Acute respiratory distress syndrome
Lung sarcoidosis
Cystic fibrosis
Hypersensitivity of penumonitis
Yellowish Sputum
Summary
Shortness of breath could be caused by problems in different system
Productive cough with yellowing sputum and weigh loss is one of manifestation of COPD / pneumonia / Atelectasis / tuberculosis
Bronchodilator is a treatment in COPD / pneumonia / atelectasis
Tuberculosis is related to current travel history

References:
Black, J. M., & Hawks, J. N. (2009). Medical Surgical nursing: Clinical management for positive outcomes (8th ed.). USA: Sauders Elsevier.

McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2010). Pathophysiology: The biologic basis for disease in adults and children (6th ed.). USA: Mosby Elsevier.

Newberry, N. (2003). Sheehy’s emergency nursing (5th ed.). USA: Mosby.

Rhoads, J., & Petersen, S. (2014). Advanced health assessment and diagnostic reasoning (2nd ed.). USA: Jones & Barlett Learning.

Sia, I. G. (2011). Current Concepts in the Management of Tuberculosis. Mayo Clin Proc, 86(4), 348-361.

Siegenthaler, W. (2007). Siegenthaler’s different diagnosis in internal medicine from symptom to diagnosis. USA: Thieme.

Souza, T. A. (2008). Differential diagnosis and management for the chiropractor: Protocols and algorithms (4th ed.). USA: Jones & Bartlett.

WONCA. (2005). International classification of primary care: ICPC-2-R (2nd ed.). USA: Oxford.

Triage Category
LOC: Alert
Communication: Able to speak in sentences
A: Airway no obstruction
B: Spo2 94%, RR: 25bpm
C: Peripheral circulation normal
No life threatening signs and symptoms
Category III
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